Individual provider Active NPI

Adam Jay Friedman, D.C.

  • Chiropractor
  • Garfield Heights, OH
National Provider Identifier
1477581874
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3725 Issued in OH
Practice address
12575 Rockside Rd
Suite 103
Garfield Heights, OH 44125-4548
Phone
(216) 475-5005
Fax
(216) 475-5115
NPI assigned
Jun 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 3725 OH Primary

Addresses

Primary practice location

12575 Rockside Rd
Suite 103
Garfield Heights, OH 44125-4548

Mailing address

12575 Rockside Rd
Suite 103
Garfield Heights, OH 44125-4548
Phone (216) 475-5005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3725OHMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic & Spinal Rehabilitation Clinic, Inc. Chiropractor PastSince Mar 1, 2011 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477581874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12575 ROCKSIDE RD",
            "address_2": "SUITE 103",
            "city": "GARFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441254548",
            "telephone_number": "216-475-5005",
            "fax_number": "216-475-5115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12575 ROCKSIDE RD",
            "address_2": "SUITE 103",
            "city": "GARFIELD HEIGHTS",
            "state": "OH",
            "postal_code": "441254548",
            "telephone_number": "216-475-5005",
            "fax_number": "216-475-5115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FRIEDMAN",
        "first_name": "ADAM",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "OH",
            "license": "3725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garfield Heights, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.